期刊
BMJ GLOBAL HEALTH
卷 7, 期 4, 页码 -出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bmjgh-2021-008275
关键词
Health policy
资金
- RTI International
The 'implementation gap' is a central issue in addressing non-communicable diseases (NCDs) and has undermined the achievement of Sustainable Development Goal 3.4. To effectively advance strategies in low-income and middle-income countries, NCD plans can be strengthened by selecting effective and cost-effective options, tailoring interventions and their scale-up to national capacity, and ensuring implementable priorities.
The 'implementation gap' between national plans and successful implementation is a central theme in addressing non-communicable diseases (NCDs). It is a factor that has undermined Sustainable Development Goal 3.4, which aims to achieve a one-third reduction in premature mortality from four major NCDs by 2030. Responding to the potential of implementation research to support low-income and middle-income countries to effectively advance their strategies, we describe ways to make NCD plans more robust by including implementation steps. These steps are (1) choosing some (but not all) effective and cost-effective options; (2) tailoring interventions and their scale-up to national capacity; and (3) making the priorities implementable. We illustrate with examples from several countries.
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